NPI 1023483252

Bishop Family Dental

Organisation Preferred Provider Organization Salt Lake City, UT

Practice location

Address: 2120 E 3900 S Suite 102, Salt Lake City, UT 84124-1771
Phone: (801) 274-2500
Fax: (801) 274-0590

Authorised official

Name: Daniel Bishop
Title: President
Phone: (801) 274-2500

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 78978139922 (UT)

Other Preferred Provider Organization providers in Utah →

Registry record

NPI: 1023483252
Entity type: Organization
NPI issued: 14 Dec 2015
Record last updated: 14 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.